恐惧相关心理障碍（如特定恐惧症、创伤后应激障碍）的传统干预手段因药物依赖与文化适应性不足 而面临挑战，音乐疗法凭借其非侵入性与跨文化潜力成为新兴的选择，但其机制整合与中西医理论融合仍 存空白。本文通过系统梳理近年研究，提出“五行音乐-神经可塑性”整合模型，首次将中医羽调音乐（40～ 80 Hz）的频率特性与神经递质调控（5-羟色胺、γ-氨基丁酸）及边缘系统功能（杏仁核、海马体）相关联。本文 进一步构建“频率-递质-情绪”三元模型，为音乐参数设定提供循证依据，并提出团体干预通过镜像神经元系 统缓解社交恐惧的神经机制。本文为音乐疗法标准化治疗恐惧相关心理障碍提供了理论依据与实践指导。

Traditional intervention methods for fear-related psychological disorders (such as specific phobia and post-traumatic stress disorder) are challenged by drug dependence and insufficient cultural adaptability. Music therapy, with its non-invasive nature and cross-cultural potential, has emerged as a new option, but there is still a gap in the integration of its mechanisms and the fusion of traditional Chinese and Western medical theories. Through a systematic review of recent studies, this paper proposes an integrated model of“Five Elements Music - Neural Plasticity”, which for the first time links the frequency characteristics of the Chinese Yu mode music (40~80 Hz) with the regulation of neurotransmitters (5-HT, GABA) and the functions of the limbic system (amygdala, hippocampus). This paper further constructs a ternary model of“frequency - neurotransmitter – emotion”, providing evidence-based guidance for the setting of music parameters, and proposes the neural mechanism by which group intervention alleviates social anxiety through the mirror neuron system. This paper provides theoretical basis and practical guidance for the standardized treatment of fear-related psychological disorders with music therapy.