The controlled shock wave (CSW) fracturing is an effective method for enhancing permeability of coal seam to promote gas extraction. Based on Fick’s law, Darcy’s law, the ideal gas law and the Langmuir equation, a damage-seepage-deformation coupling mathematical model of CSW fracturing in coal seam combined with the maximum tensile stress and the Mohr-Coulomb criterion is established. This model is implemented into COMSOL Multiphysics to simulate the coal seam CSW fracturing and subsequent gas extraction. When the shock wave and isotropic in-situ stress are applied on the borehole wall, the coal damage zone is an annular shape, and the permeability in the damage zone increases sharply. The CSW can effectively increase the efficiency of gas extraction and reduce the gas pressure and gas content in coal seam. With the increase of CSW action times, the damage in coal mass reaches a threshold and tends to be stable after several shocks. The damage area and the gas extraction efficiency are positively correlated with the shock intensity. Under the anisotropic ground stress, the larger diversity of the stress in different directions is, the more obvious damage extension in the fractured coal along the maximum stress direction is. Ground stress can inhibit the extension of cracks in the CSW fractured coal seam. This inhibition effect becomes more obvious with the increase of in-situ stress. Parameters are substantiated of controlled shock wave impact on the coal seam, which ensures increased methane extraction from low-permeability reservoirs, are substantiated.