I found some time, and discovered FFVIII had just the update. So I had to also break out FFVII to install the original version and then the update.
But it does appear in the Aureal control panel, the only issue I found was the dropbox won't scroll with a scroll wheel. It also doesn't show a scrollbar, I just had to use the keyboard to scroll the the much longer list that just the four items it displays at a time. The Yamaha Softsynth is shown and works just fine in DOS.
I found if you can run the DOS game windowed, you can switch the MIDI device on the fly. MIDI only plays while the DOS window has focus. But I tested the Yamaha Softsynth vs the SB Audigy Softwavetable vs the Vortex Wavetable in the Duke3D setup and all three sounded different so the selector was doing its job.