It is so very difficult for generations born in modern times when science and medicine has been able to explain what people born in the 1800s did not know or understand. The people in those days were prone to turn elsewhere for the answers. Two common places were: religion and mysticism. One or the other was given the blame or the credit. Example: If an infant, who was well when he/she was placed into bed, suddenly died, the parents looked to their God... But the death of a child is so difficult, that often times, their belief in God was far too strong, so, they looked around for other answers. Maybe, at the corner of their street lived a craggy old woman, who had already been blame for other strange deaths or the event when a cow had blood in her milk, and, so, she was labeled the village "witch". The grief stricken parents believed that the "witch" had placed a hex on their child.... Today, we know that the infant probably died of "sudden death syndrome" and not because of a hex by an old woman living at the corner. Obvious to us, but, not to the old timers.
I understand this mentality because I'm old enough to have lived on the mystical border. As a young kid, I heard stories about black cats, ghosts, and things that bump-in-the-night, oh, and let me not forget, the vampires. The old timers would swear up and down they had seen old aunt Maggie's ghost dragging her chains through the old uncles house.... To this day, I'll knock on wood for good luck, which is an old Celtic habit handed down through the ages....
In order for the old nanny to keep her ward in line, she'd tell the children not to wander far because of the old witch who lived in the woods who might catch them and eat them for her supper.... No one had an ipad to check out this old nanny's story back in those days.
Alexandra and most people around her believed in good and bad luck, good and bad spirits, the devil, men sent to earth by God.... And, she believed Rasputin was sent to her by her God in her time of need.
When Rasputin sent word that they should stop giving Tsarvich Alexei aspirn [I don't know if that is what the chemical was called then], it saved his life, because aspirn thinned the blood and that was the last thing that a hemophiliac needed.
It is so easy for us in this day and age to scoff at Alexandra's mystic beliefs but desperate people reach out and do desperate things. Also, we must remember that the bible, be it written in English, German or Russian, held stories about people, even angels, sent to earth to do God's work.
When Harry Potter became so popular with the children, I had to smile. They were getting a lot of the old stories I had heard as a kid. It almost seems that the children had been so starved for these kinds of stories that they couldn't seem to get their fill once they were introduced to children [not cartoons] with magical powers who could defeat the terrible villains, plus, the silly humans who cannot believe anything about Harry Potter's world. The difference between my generation and all those before us, like Alexandra, believed the impossible was possible, but, the generations of most of the posters reading this t cannot believe in impossible worlds like that of Harry Potter.
Back to Alexandra's health.
I think a lot of her problems were mental caused by stress which cause her physical ills long before Alexei was born.
AGRBear