In all the posts i have seen so far there hasn't been a suggestion for

Option "Buttons"                "5"

this is what i have for my mouse:

when i type  gpmconfig i get
Device: /dev/psaux
Type: imps2
Repeat_Type: raw

and in XF86Config-4

Selection "InputDevice"
        Identifier  "Mouse1"
        Driver    "mouse"
        Option     "Protocol"    "IMPS/2"
        Option    "Device"      "/dev/gpmdata"
        Option    "ZAxisMapping"  "4 5"
        Option    "Buttons"        "5"

all of this works well for me in that combination.
I hope this will be able to help you.

Nathan

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