In the mid-Ming Dynasty, the ancient Han working people in Qixian and Taigu sang "ditty" while working in the fields, and at the same time cooperated with the Lantern Festival performance, which was the most primary form of Qitai Yangko from a folk song to a combination of song and dance. In the early Qing Dynasty, Anhui Fengyang Flower Drum spread to Jinzhong, and some programs gradually developed into street yangko combined with local yangko. At that time, there were no strings in the performance, only drums and gongs were used to master the rhythm, and the content was mostly third-person stories. During the Jiaqing period, the business in Jinzhong was prosperous, and the culture also spread and exchanged, which promoted the development of Yangko to traditional Chinese opera. In the early years of Daoguang, mass music classes appeared in Qitai County. In addition to holding yangko in the street on the fifteenth day of the first month, they also performed at home and gradually developed into neighboring counties. Fifteen years after Guangxu, Qitai Yangko began to perform on stage. Some villages organize classes, while others jointly organize classes and go out for activities during the slack season. In the 22nd year of Guangxu, Qitai Yangko artists set up Qitai Shengshe, which sold Taikou in the form of semi-professional clubs and theatrical performances, and priced it clearly to perform in nearby counties.

In the early years of the Republic of China, Qitai Yangko and Shanxi Opera influenced each other, learned from each other's strong points, and jointly established a "wind stirring snow" class club, which performed both Shanxi Opera and Yangko, further promoting the development of Qitai Yangko, and formally appeared the name of "Qitai Yangko". Around the year of the Republic of China 15, yangko artists in Qixian and Taigu compiled and created a number of yangko dramas reflecting rural life, such as Calling Aunt, Persuading to Quit Smoking and Sending Cherry. These scripts and tunes have been handed down to this day.