The study first investigated the effects of individual ultrasound and high-speed shearing on emulsification, both obtaining emulsions with average sizes of approximately 1 μm. Subsequently, a combined strategy to utilize shearing instrument producing coarse emulsion for ultrasonic microreactor was proposed. Immiscible liquids were drawn into the stirring chamber by rotating paddles, where they underwent strong shearing and thorough mixing. The pre-mixed liquids were introduced into microchannel and subjected to further processing by oscillating cavitation bubbles. Through optimization of experimental parameters such as residence time and recycle ratio, the average emulsion size was significantly reduced to 522 nm. Finally, a dual-frequency strategy using ultrasound frequencies of 20 and 40 kHz consecutively further reduced the emulsion size to 307 nm. In comparison with conventional sonoreactors and high-pressure homogenizers, this dual-frequency approach demonstrated superior emulsification performance with less surfactant addition and energy input, indicating its high applicability on continuous emulsification process with proper design and optimization.