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China is a nation that is affected by a multitude of natural disasters, including droughts and floods. In this paper, the variations of extreme drought and pluvial patterns and their relations to the large-scale atmospheric circulation have been analyzed based on monthly precipitation data from 483 stations during the period 1958–2010 in China. The results show the following: (1) the extreme drought and pluvial events in China increase significantly during that period. During 1959–1966 timeframe, more droughts occur in South China and more pluvial events are found in North China (DSC-PNC pattern); as for the period 1997–2003 (PSC-DNC pattern), the situation is the opposite. (2) There are good relationships among the extreme drought and pluvial events and the Western Pacific Subtropical High, meridional atmospheric moisture flux, atmospheric moisture content, and summer precipitation. (3) A cyclone atmospheric circulation anomaly occurs in North China, followed by an obvious negative height anomaly and a southern wind anomaly at 850 hPa and 500 hPa for the DSC-PNC pattern during the summer, and a massive ascending airflow from South China extends to North China at ~50∘N. As for the PSC-DNC pattern, the situation contrasts sharply with the DSC-PNC pattern. [ABSTRACT FROM AUTHOR]