The hydroclimatic patterns in eastern China (EC) over the past millennium, both influenced by solar activity and Pacific decadal oscillation (PDO), are presented based on the climatic reconstructions and simulations. For strong solar activity, a consistent pattern exists where drought appears in the majority of EC initialized from the cold PDO phase, which is related to less moisture caused by the negative East Asia/Pacific-like (EAP-like) pattern and the enhanced western Pacific subtropical high (WPSH). When the initial condition with a neutral or warm PDO phase is set up, there is a tripole-like pattern from north to south, i.e., drought–flood–drought for the neutral PDO phase and flood–drought–flood for the warm PDO phase, which is related to the positive EAP-like pattern with various moisture transportation paths. For weak solar activity, there are dipole-like patterns where drought occurs in the northern part of the Yangtze River and flood appears in the southern part initialized from the cold or warm PDO phase, which is possibly related to the influence of the weakened WPSH. When the initial condition is the neutral PDO phase, there is a tripole-like pattern from north to south (flood–drought–flood) in EC affected by the weakened WPSH and the intensive India–Burma trough. Notably, the vertical velocity anomalies of airflow, representing the vertical moisture transportations, correspond well with the hydroclimatic patterns in EC whenever the various initialization strategies of PDO phases are employed.