Originally of rubies, garnets, and other red jewels. In English the word was used of red, eruptive subcutaneous inflammations and tumors from late 14c. Also "red spot on the nose or face caused by intemperance" (1680s).
c. 1500, "consisting of money;" 1620s, "relating to money," from Latin pecuniarius "pertaining to money," from pecunia "money, property, wealth," from pecu "cattle, flock," from PIE root *peku- "wealth, movable property, livestock" (source of Sanskrit pasu- "cattle," Gothic faihu "money, fortune," Old English feoh "cattle, money").
Livestock was the measure of wealth in the ancient world, and Rome was essentially a farmer's community. That pecunia was literally "wealth in cattle" was still apparent to Cicero. For a possible parallel sense development in Old English, see fee, and compare, evolving in the other direction, cattle. Compare also Welsh tlws "jewel," cognate with Irish tlus "cattle," connected via the notion of "valuable thing," and, perhaps emolument.
An earlier adjective in English was pecunier (early 15c.; mid-14c. in Anglo-French), from Old French; also pecunial (late 14c.).