> What I do not want is to block all of the email
> with attachments. It looks like the procedure to
> fine-tune this will take a long time.
Pattern matching does not block all email with attachments. It only blocks (rejects) email with attachments when the attachment content matches a certain pattern which corresponds to commonly known viruses. All other emails with attachments get delivered as normal. The "gotcha" is that you will not be able to send or receive any type of .exe attachments as they will (mostly) all get blocked, you will have to zip any exe files. That's the only limitation and it is a small price to pay for the massively improved security that you get.
It's not hard to set up, just follow the instructions, carefully. A lot of the HOWTO is further technical explanation for those who want to play or use the feature for other purposes, all the standard settings are enabled by default when you install the rpms.