Few-shot multi-intent spoken language understanding (SLU) aims to identify users’ multiple intents and key slots using a tiny amount of annotated data. Recent advances in large language models (LLMs) have utilized instruction learning frameworks to model intent-slot interdependencies, typically requiring abundant data for effective training. However, in few-shot scenarios, these frameworks face challenges such as mismatches between the number of generated slots and input lengths, relational confusion in multi-intent scenarios and neglect of task-specific variations in intent counts across utterances. To overcome the challenges, we propose PICD-Instruct, a novel generative framework based on Basic Instructions (BI), Pairwise Interaction Instructions (PII) and Contrastive Distinct Instructions (CDI). Specifically, BI directs LLMs to generate entities along with associated words, thereby mitigating mismatches in quantitative correspondences. PII explicitly captures dual-task interdependencies by guiding LLMs to pair each intent with its related entities. CDI enhances understanding of utterances by guiding LLMs to determine whether two utterances share the same intent count. Experimental results on public datasets indicate that PICD-Instruct achieves state-of-the-art performance.