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Bob Dylan – Stuck Inside of Mobile with the Memphis Blues Again Lyrics 17 years ago
Oh I had thought that texas medicine and railroad gin were types of acid. Especially back in the 60's, people would sell spot with "street-names" that pretty much said what type of ride you were in for. I thought maybe Dylan mixed two types that didn't go well together, but I guess crazy_Ira and edrebber's comments would make more sense.
I think that the stanza that starts "When Ruthie says come see her" is just about him coming to see a woman who is trying to seduce him. He says that his debutante (his girlfriend) stands between him doing anything with her and she says that his girlfriend gives him the love that he needs but that she can give him the pleasure that he wants.
Great song. It makes me happy anytime I hear it.

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