Inter-annual variation in the ratio of 18O to 16O of precipitation (δ18Op) in the monsoon regions of China (MRC, area approximately east of 100°E) has not yet been fully analyzed. Based on an analysis of the relationships between the time series of amount-weighted mean annual δ18O in precipitation (δ18Ow) and meteorological variables such as temperature, precipitation as well as atmospheric/oceanic circulation indices, it is recognized that the El Nino-Southern Oscillation (ENSO) cycle appears to be the dominant control on the inter-annual variation in δ18Op in the MRC. Further analysis shows that the trade wind plays a role in governing δ18Ow through affecting the intensity of the different summer monsoon circulations which are closely linked to the weakening (weaker than normal) and strengthening (stronger than normal) of the trade wind and gives the δ18Ow different values at or over inter-annual timescales. The southwest monsoon (SWM) drives long-distance transport of water vapor from Indian Ocean to the MRC, and along this pathway increasing rainout leads to more negative δ18Ow via Rayleigh distillation processes. In contrast, the southeast monsoon (SEM), which is consistent with the changes in the strength of the West Pacific subtropical high, drives short-distance water vapor transport from the West Pacific Ocean to the MRC and leads to less negative δ18Ow. Therefore, the δ18Ow value directly reflects the differences in influence between the SWM, which is strong when the SE trade wind is strong, and the SEM, which is strong when the SE trade wind is weak. In addition, the South China Sea Monsoon also transports local water vapor as well as plays a role in achieving the synchronization between the δ18Ow and ENSO. The author thus terms the δ18Op rhythm in the MRC the “circulation effect”. In turn, the δ18Op variation in the MRC has the potential to provide information on atmospheric circulation and the signal of δ18Op recorded in natural archives can then be used to deduce a long-term behavior of the tropical climate system.