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Strontium, a key trace element regulating bone development and cardiovascular function, has seen growing research interest in its groundwater accumulation and resource potential. The unique geological structure of the northern Lushan Mountain slope provides an ideal setting to investigate strontium migration and enrichment. We systematically collected 21 groundwater samples and analyzed strontium occurrence characteristics and formation mechanisms using hydrochemical analysis, PHREEQC simulations, Gibbs diagrams, and cation exchange adsorption models. Analysis revealed that 71.4% of samples (15 groups) exceeded the GB 8537-2018 standard (≥0.4 mg/L), significantly higher than typical groundwater systems. Spatial distribution showed marked geological differentiation: average strontium concentration in Cambrian-Ordovician fractured-karst water reached 2.79 mg/L (range: 0.207–12.41 mg/L), 109.8% higher than in bedrock fissure water (1.33 mg/L). Structural control was evident, with samples near fault zones exhibiting generally higher concentrations than non-fault areas. Multivariate statistics indicated significant positive correlations between Sr²⁺ and TDS, Na⁺, Ca²⁺, and SO₄²⁻, suggesting synergistic enrichment mechanisms. Hydrogeochemical simulations confirmed that multiphase leaching of strontium-bearing silicate rocks provides the primary source, while rock weathering-driven ion exchange reactions constitute the key enrichment mechanism. This study elucidates the structural-lithological coupling-controlled hydrogeochemical cycle of strontium, providing theoretical support for delineating high-quality mineral water targets and developing health-beneficial geo-resources in the Lushan region. Full article