Reload after import so clicking on icon works.
Disable the custom text in action tab if you don't care about the click functionalities.
Left click - Use gem. Alt/shift/ctrl + click - make new gem.
Glows when 3500 mana is missing. Tracks charge count and CD.
Edit the macro in actions tab to your liking or if using client which is not in English.
/cast [btn:1]item:33312\n/cast [mod]Conjure Mana Gem