PurposeHuman skin temperature data can provide reference advice for diagnosing many diseases, but current wearable skin temperature monitoring systems have few points and may miss temperature information in critical areas. This paper aims to develop a wearable system that can be used for local temperature monitoring and restore better the actual state of local human temperature by exploring ways to extend more temperature measurement points. This will provide better assistance in developing medical targeting and intelligent clothing.Design/methodology/approachThe temperature measurement system contains modules for temperature monitoring, digital-to-analog conversion and regulated power supply, enabling fast reading of 12 channels of monitoring data. The microprocessor unit is the STM32F407. The instructions and control modes are written in C. The waist area was chosen as the monitoring area because it is susceptible to temperature, and many diseases are associated with skin temperature. Twelve points, including temperature-related acupuncture points and heat-sensitive points, were selected for testing and the data results agreed well with the infrared imaging results.FindingsThe waist is selected as the monitoring object, and an easy-to-wear waist temperature monitoring belt is designed to verify the application value of the system. The development of the system provides reference suggestions for the exploration of multi-point temperature monitoring systems and the integration capabilities of temperature measurement modules in wearable multifunctional systems.Practical implicationsIn addition to waist temperature monitoring, the wearable temperature measurement system developed in this study can also be applied to other body parts. In addition, the system can be efficiently and effectively combined with various garments, making it a useful tool for researching human skin temperature.Originality/valueThe wearable temperature monitoring system designed in this paper extends the number of temperature test points to 12. The number of test points covers as many localized body areas as possible to indeed reproduce the temperature distribution of the human body. In addition, the selection of test points combines medically relevant body points with physiologically relevant heat-sensitive areas, which makes the temperature measurement data more valuable.