I think I get the answer that is using "IGeoFeatureLayer"
ESRI::ArcGIS::Carto::IFeatureLayer^ GetSymbol(ESRI::ArcGIS::Carto::IFeatureLayer^ featureLayer,double angle)
{
IPictureMarkerSymbol^ picMSymbol = gcnew PictureMarkerSymbolClass();
String^ picPath= "D:\\Ac33.bmp" ;
picMSymbol->Size = 30 ;
picMSymbol->Angle= angle ;
picMSymbol->CreateMarkerSymbolFromFile(esriIPictureType::esriIPictureBitmap,picPath);
picMSymbol->BitmapTransparencyColor = GetRgbColor(255,255,255) ;
ISimpleRenderer^ render = gcnew SimpleRendererClass() ;
render->Symbol = (ISymbol^)picMSymbol ;
IGeoFeatureLayer^ geoPointFeatureLayer =(IGeoFeatureLayer^)featureLayer ;
geoPointFeatureLayer->Renderer = (IFeatureRenderer^)render ;
return (IFeatureLayer^)geoPointFeatureLayer ;
}