There have been few case studies of the relationship between the Pacific Decadal Oscillation (PDO) and the East Asian climate before the pre-industrial era with limited anthropogenic impacts. Using the CESM Last Millennium Ensemble (CESM-LME) simulation with reconstruction evidence, we showed that there was an interdecadal transition of the summer precipitation in East China, with the pattern of “southern flooding and northern drought” in the mid-18th century. The interdecadal transition was influenced by PDO, as suggested by both the reconstruction evidence and simulation. Corresponding to the positive PDO phase change, the East Asia-Pacific pattern teleconnection wave train propagated northward and modulated the circulation and precipitation in East China, together with the southward movement of the East Asian westerly jet. The volcanic double or clustered eruptions are thought to have played a crucial role on the shift of the PDO phase and the decadal summer climate change over East China during the mid-18th century. Incorporating volcanic activity in a reasonable manner would likely improve decadal simulations of East Asian climate in the past and predictions in the future.