Possible Clues:

• Before arranging the crown of commoners, take strain
• [Gag!]
• Miserable person, head down to go to be sick
• Gag, almost vomit
• “If a topic makes you […] laugh, or sigh, or ____ — or react physically in any way — you have a winner” (Scott Adams, Dilbert cartoonist)
• Sound of vomiting
• Heave case of claret that woman admits lifting
• [Yuck!]
• Blighter ignoring wit's opening gag
• Gag miserable specimen with no wife