What is the practical ruling on makruh tahrimi in the book?

Prescribed Acts and Prohibitions: Fard, Wajib, Sunnah, Nafl, Haram, Makruh, Azimah and Rukhsah

• Avoidance is merely better and there is never punishment
• Doing it always earns reward
• Performance and omission are equally binding
• Abstention is binding; unjustified commission merits blame and punishment