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The unbalanced pattern of population urbanization in Guizhou is mainly restricted by natural background conditions such as karst landform environment, and is also closely related to economic and geographical factors such as the developing difference in various regions in the province, the number and density of cities and towns. Based on the regional differences in the population scale and density in the Qing Dynasty, this paper discusses the regional distribution of the number, density and hierarchical status of towns, and analyzes the internal relationship between urban distribution and regional geographical factors such as population, immigration, historical construction, economic development and ethnic situation, which can deepen the understanding of the evolution process of Guizhou's population distribution and urbanization pattern, and provide a certain historical basis for Guizhou's population development and urbanization policy. [ABSTRACT FROM AUTHOR]