Manchester Orchestra - I Can Feel a Hot One Lyrics Meaning

This song is about him doing drugs, feeling good for a moment, until he had to do them again. He had a girlfriend and this is what this part means "And you were holding on to make a point
What's the point?" meaning, he wont listen to her even though he wants to but he's high.

"I'm but a clean man, stable and alone man
Make it so I won't have to try
The faces always stay the same
So I face the fact that I'm just fine
I said that I'm just fine"

he's saying he's not clean (drugs) or stable (drugs again) and he's alone.
he was bored with his life, everything became routine for him.

"I remember, head down,
After you had found out
Manna is a hell of a drug
And I need a little more, I think
Because enough is never quite enough
What's enough?"

his girlfriend found out he was using drugs, yet he couldnt get enough even though she wanted him to stop.

"I took it like a grown man crying on the pavement
Hoping you would show your face
But I haven't heard a thing you've said
In at least a couple hundred days
What'd you say?"

she left him, found out she was pregnant and wouldnt get back with him untill he stopped (she didnt want the baby around drugs), he only showed he cared about what she said after she left.

"I was in the front seat, shaking it out
And I was asking if you felt alright
I never want to hear the truth
I want to hear your voice, it sounded fine
My voice, it sounded fine"

he told her he would stop, she trusted him, and had picked her up, little did she know, he was high and he was trying to (shake it out) and tried to keep his voice sounding fine.

"I could feel my heartbeat taking me down
And for the moment, I would sleep alright
I'm dealing with a selfish fear
To keep me up another restless night
Another restless night"

he was dozing off from the drug at the wheel, "dealing with a selfish fear" meaning he didnt "truly" care about what she said or else he wouldnt of kept taking manna.

"The blood was dry, it was sober
The feeling of audible cracks
And I could tell it was over
From the curtains that hung from your neck"

they had crashed, he suddenly went sober, and the "curtains" represent his girlfriends seatbelt.

"And I realized that then you were perfect
And my teeth ripping out of my head
And it looked like a painting I once knew
Back when my thoughts weren't entirely intact"

his teeth were knocked out and realized he did wrong, the painting part meaning there was blood, and things like that.

"To pray for what I thought were angels
Ended up being ambulances
And the Lord showed me dreams of my daughter
She was crying inside your stomach"

he hoped to die, and would rather be dead knowing he killed his girlfriend, he had flashes of a child, but didnt know she was pregnant.... untill the ambulances showed, and his girlfriend, and daughter died.

"and i felt love again"

meaning he didnt know love until this happened to him.

hope this helped.