The question of the origin of music and its powers has always fascinated philosophers and scientists. Here we present a close reading of the view offered by the Persian Muslim philosopher and scientist Ibn Sīnā, also known as Avicenna (980–1037). We draw a parallel between Ibn Sīnā’s account of the senses and mental capacities and his hierarchical, quasi-evolutionary view of the perception of sound in its various communicative roles. We show how Ibn Sīnā positions music at the top of the organisation of sound while drawing a connecting line between the sensory and cognitive, the natural and conventional, and the biological and aesthetic. Although mostly drawing on ideas previously expounded by Aristotle and al-Fārābī, he goes way beyond his predecessors in positioning music within the systems of communication and highlights music's special ability to create a flux of joy and sadness, tension and relaxation, based on the ephemeral character of sound that serves as a connecting thread through all levels of its communicative roles.