The translation at https://mathcs.clarku.edu/~djoyce/elements/bookV/bookV.html says:
> Magnitudes are said to be in the same ratio, the first to the second and the third to the fourth, when, if any equimultiples whatever are taken of the first and third, and any equimultiples whatever of the second and fourth, the former equimultiples alike exceed, are alike equal to, or alike fall short of, the latter equimultiples respectively taken in corresponding order.
This is a bit hard to understand, but I think it does come out to the same thing: positing the existence of ratios of magnitudes that cannot be expressed as ratios of integers, but which divide the ratios of integers into those that are less than or greater than the ratio of magnitudes in question.
Further discussion at https://math.stackexchange.com/questions/499395/how-to-best-... seems to agree.