With macro: attack,attack,attack, Z, attack,attack, F, attack,attack, Right-click, MB3, attack. Rinse, repeat.
Without macro: attack,attack,attack, 3, RMB, 1, attack,attack, 5, RMB, 1, attack,attack, 6, RMB, 4, RMB, 1, attack.
It's... really, REALLY cumbersome and frankly not worth...