Lyric discussion by edrebber 

scotch & worstishire sauce = texas medicine Cider & tomato juice = railroad gin

That is too literal. Dylan is playing games w/ imagery. I think the texas medicine is peyote, and the railroad gin is rot-gut booze. He either has a bad trip, or a bad hangover from mixing the two, or both. "now people just get uglier, an' I have no sense of time."

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