The invention relates to a multifunctional health care pillow for infants. The multifunctional health care pillow for the infants comprises a pillowcase and a pillow interior. The pillow interior comprises a heat-preserving layer and a filling bag, and the filling bag is filled with Chinese herbal medicine filler composed of, by weight, 1-8% of bamboo charcoal, 1-8% of arabian jasmine flowers, 50-70% of negundo chastetree fruits and 20-40% of cassia seeds. According to a preparation method of the multifunctional health care pillow for the infants, the bamboo charcoal is smashed and wrapped by cotton cloth to form a charcoal bag, the cassia seeds, the arabian jasmine flowers and the negundo chastetree fruits are screened, cleaned, dried and disinfected and then mixed with the charcoal bag uniformly according to the proportion of the filler, then the mixture is placed into the filling bag, the bag opening is sewn, the filling bag is placed in the depression of the heat-preserving layer and then placed into the pillowcase together with the heat-preserving layer, and finally the multifunctional health care pillow for the infants is obtained after sealing the pillowcase. The multifunctional health care pillow for the infants has the better health care effect through the double effects of the Chinese herbal medicine filler with reasonable compatibility and the ramie pillowcase, has the good shape protection and correction function and can be adjusted in height and used in cold or hot environment.