Build the binary like described in README.build.
Copy sigh-example.cfg and mapfile-example.txt and rename them. Make changes to these files. The example files are well documented.
Start the milter i.e.:
./sigh --debug --config /path/to/your/modified/config
See full list of options with:
./sigh -h
The funny name of the milter is baed on an idea from Patrick Ben Koetter.