re = /((\b[a-z]{1,}\b).*?)(\b\2\b)(.*)$/mix
str = 'Green shirt green hat
Green shirt greenish hat
You are an artistically gifted musically gifted individual'
subst = '\\1and\\4'
result = str.gsub(re, subst)
# Print the result of the substitution
puts result
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Ruby, please visit: http://ruby-doc.org/core-2.2.0/Regexp.html