This paper focuses on thermal environmental conditions in the stone dwellings of a Tibetan village in Danba County, Sichuan, China, in winter. During the study, field measurements and subjective survey studies were collected, simultaneously, to provide a comprehensive understanding of the thermal comfort conditions that were experienced by residents in cold rural areas of Sichuan. Subjective surveys involved questions about thermal comfort perceptions and acceptability in cold conditions. The status of thermal comfort and characteristics of indoor environmental qualities were investigated in the study. The majority of survey participants (47% and 74%) voted as “slightly cool” for temperature, and “slightly dry” for humidity in the studied typical winter days, respectively. The available adaptive opportunities for the residents were investigated through the survey studies. Adjusting clothing, drinking hot beverages, blocking air infiltration through windows, and changing activities were the most common adaptive measures. An adaptive coefficient ( λ ) was determined based on adaptive predicted mean votes (aPMV) models using least square methods to assess the different adaptation measures in the region. Findings of this study provided a valuable reference for thermal comfort adaptations in cold climates, where limited adaptive opportunities were available due to the low standard of living.