A wearable device with physiological monitoring function includes an ornament unit and a monitoring unit. The jewelry unit includes a wearing piece for a user to wear. The monitoring unit includes a detection member disposed on the wearing member, a sensing module disposed on an inner surface of the detection member, a transmission module connected to the sensing module by a signal, and a power supply module. The sensing module can detect a user's blood pressure, blood oxygen, heart rate, and body temperature through an optical sensing method, and transmit the measured data to the smart device through wireless transmission through the transmission module. The wearing piece can be designed with general accessories such as bracelets, bracelets, hoops or rings, so that the overall appearance of the new model is naturally unobtrusive, and it is not easy to see that it is an intelligent physiological monitoring device, which maintains the self-esteem of the elderly, thereby greatly improving the Acceptance.