procedure ....
var IconStream : TMemoryStream;
..
..
begin

.
.
IconStream := TMemoryStream.Create;
Image1.picture.icon.savetostream(IconStream);
(Table1.fieldbyname('Icon') as TBlobField).LoadFromStream(IconStream);
Table1.post;
IconStream.Free;
.
.
end;

procedure .....
var IconStream : TMemoryStream;
..
..
begin
.
.
IconStream := TMemoryStream.Create;
(Table1.fieldbyname('Icon') as TBlobField).SaveToStream(IconStream);
{что бы что-нибудь записать, необходимо установить позицию потока в ноль!}
IconStream.Position := 0;
appointment.iconimage.picture.icon.loadfromstream(iconstream);
IconStream.Free;
end;