The Settings Menu

SettingsPlay Sounds

Plays a sound when you touch a tile by clicking with it the left mouse button and when a tile is falling down playing with Gravity enabled.

SettingsConfigure Shisen-Sho...

Opens the configuration dialog to change Shisen-Sho settings.

Additionally Shisen-Sho has the common KDE Settings and Help menu items, for more information read the sections about the Settings Menu and Help Menu of the KDE Fundamentals.