Let there be three magnitudes A, B, and C, and others D, E, and F, equal to them in multitude, which, taken two and two together, are in the same proportion, and let the proportion of them be perturbed, so that A is to B as E is to F, and B is to C as D is to E.
I say that A is to C as D is to F.
Take equimultiples G, H, and K of A, B, and D, and take other, arbitrary, equimultiples L, M, and N of C, E, and F.
Then, since G and H are equimultiples of A and B, and parts have the same ratio as their multiples, therefore A is to B as G is to H.
For the same reason E is to F as M is to N. And A is to B as E is to F, therefore G is to H as M is to N.
Next, since B is to C as D is to E, alternately, also, B is to D as C is to E.
And, since H and K are equimultiples of B and D, and parts have the same ratio as their equimultiples, therefore B is to D as H is to K.
But B is to D as C is to E, therefore also, H is to K as C is to E.
Again, since L and M are equimultiples of C and E, therefore C is to E as L is to M.
But C is to E as H is to K, therefore also, H is to K as L is to M, and, alternately, H is to L as K is to M.
But it was also proved that G is to H as M is to N.
Since, then, there are three magnitudes G, H, and L, and others equal to them in multitude K, M, and N, which taken two and two together are in the same ratio, and the proportion of them is perturbed, therefore, ex aequali, if G is in excess of L, K is also in excess of N; if equal, equal; and if less, less.
And G and K are equimultiples of A and D, and L and N of C and F.
Therefore A is to C as D is to F.
Therefore, if there are three magnitudes, and others equal to them in multitude, which taken two and two together are in the same ratio, and the proportion of them be perturbed, then they are also in the same ratio ex aequali.
The proof given here uses proposition V.16 and alternate ratios, and that means it only applies when all six magnitudes are of the same kind. It is also rather clumsy, since it uses V.15 and V.11 instead of V.4 as the previous proposition V.22 did. It doesn’t seem likely that this proof would be written when the better proof of V.22 could serve as a guide, so it seems likely that V.4 was inserted later and an older proof of V.22 was cleaned up, but that of V.23 wasn’t for some reason such as its relative unimportance. After all, it is not used in the rest of the Elements.
Here’s a summary of the proof as given.
Using alternation V.16 on the other proportion b : c = d : e yields b : d = c : e (but that requires that all the magnitudes are of the same kind).
For similar reasons nb : nd = b : d = c : e = mc : me. Therefore, alternately, nb : mc = nd : me.
Now use V.21 on the two proportions nb : mc = nd : me and na : nb = me : mf, to conclude
Although the last proposition on proportions ex aequali did not depend on treating V.Def.4 as an axiom of comparability, this proposition on perturbed proportions ex aequali does. For a counterexample involving infinitesimals, take a = c = e, b = e = (a + y), and f = (a + 2y), where y is infinitesimal with respect to a.