No macro's needed for general PvE dpsing and certainly no spamming. I apologise for my laziness but I have posted before on this so will just pop in the link rather than retype it all.
http://www.eq2flames.com/monks/43421...me-advice.html
Generally I go debuffs, dots, and long reuse high damage followed by others. I prefer to use long reuse first as you have more chance of seeing them more than once per fight.