The Northwestern Sichuan Basin is a hot spot for natural gas exploration, and in recent years, many wells have obtained high-yield commercial gas flows in the Qixia Formation. However, due to the influence of foreland orogeny, the oil and gas in the Qixia Formation often have the characteristics of multisource filling, multistage accumulation and multistage transformation, which results in an unclear understanding of the gas source and the accumulation process. This paper uses the concept of sub-block research through carbon isotope and biomarkers analyses, to carry out gas-gas, gas-source and bitumen-source rock comparisons in different structural belts to determine the natural gas sources. On this basis, basin simulation and fluid inclusion analysis technology are used to determine the stage of hydrocarbon accumulation, and then the accumulation process is determined. Studies have shown that the gas source of the Qixia Formation are different in the different structural belts: (1) The natural gas from the Qixia Formation in the thrust nappe belt mainly originates from the Qiongzhusi Formation source rock; (2) The natural gas from the Qixia Formation in the hidden fault belt is a mixture of the source rock of the Qixia Formation and the source rock of the Qiongzhusi Formation; and (3) The natural gas from the Qixia Formation in the gentle belt mainly originates from the Middle Permian source rock and the Upper Permian Longtan Formation source rock. The Indosinian, Yanshania, and Himalayan movements all have great influence on the formation of the Qixia Formation reservoir in northwestern Sichuan, and the accumulation process of the different structural belts is quite different, but generally, the accumulation process of the different structural belts have experienced three stages: a primary oil pool stage, gas pool stage and reformation and definition stage.