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The qualitative method was used in this study to examine the historical development of Xiansuo folk music in Hehuang district, Quinghai province, China. Based on the field investigation method, field study method, questionnaire survey method, and recording method Using humanities theory, sociology theory, and historical musicology theory, the study results are as follows: Including its creation process and classifying it according to topic materials Xiansuo folk music is a type of music performance that combines literature, singing, and musical instrument accompaniment. It is widely performed in Haidong City, Qinghai. Xiansuo is not only a unique art form in the Hehuang area, but it is also the result of cultural fusion. It is an aesthetic result of the collective will, thoughts, and emotions, as well as the individual characteristics and aesthetic taste of the Qinghai people, and it has significant scientific value. It is a significant part of the propagation and promotion of traditional music culture and the Qinghai national spirit, as well as a meaningful type of Xiansuo folk music that is distinct from other ethnic musics. Examining Xiansuo music and showing the distinctive creative worth of Xiansuo in contemporary art is critical for encouraging social diversity and conserving traditional folk art. The qualities, musical elements, dissemination, and music have all been explored and researched, and any gaps will need to be filled by future research.