text: Three-fourths of a century later, the Fourth Lateran Council in 1215 promulgated the dogma that "the body and blood [of Jesus Christ] are truly contained in the Sacrament of the Altar under the outward appearances of bread and wine, the bread having been transubstantiated into the body and the wine into the blood." {Note from JH -- this dogma has been modified so that both body and blood are present in each of the species. See Aquinas ST III, q 76 art 2, in which he explains that while the bread is transubstantiated into the Body and the wine into the Blood, the Blood is present concomitantly in the bread and the Body is present concomitantly in the wine}. Theologians continued to recognize that the fundamental content of the dogma of transubstantiation was the doctrine of the real presence, rather than a particular philosophical definition of substance and accident.